Healthcare Provider Details

I. General information

NPI: 1437540846
Provider Name (Legal Business Name): AMY S PERRY PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2015
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 N EIGHT TRIBES TRL
MIAMI OK
74354-1010
US

IV. Provider business mailing address

22 N EIGHT TRIBES TRL
MIAMI OK
74354-1011
US

V. Phone/Fax

Practice location:
  • Phone: 918-387-8720
  • Fax:
Mailing address:
  • Phone: 918-542-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number227857
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number80299
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberA004397
License Number StateAR
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2015003914
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: